| NPI | 1093960346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 059857) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 852436) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2020-07-17 |