| NPI | 1104210889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 094138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088797) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2022-07-27 |