| NPI | 1093112971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088333-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 20494) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2024-03-20 |