| NPI | 1124489778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0860991) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089198) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2018-05-29 |