| NPI | 1154458024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075294-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075294-01) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-10-10 |