| NPI | 1104360841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 097702-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088903) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2019-11-05 |