| NPI | 1104199728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083798) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079922) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2022-06-07 |