| NPI | 1093075087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087672) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085254) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-08-05 |