| NPI | 1134203151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R069626-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R069626) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-05-09 |