| NPI | 1083990097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083076) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085086) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2021-06-01 |