| NPI | 1104159789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081223) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2018-02-15 |