| NPI | 1124422589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092221-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 088713) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2021-12-01 |