| NPI | 1154608651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R078198-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 078198) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2020-03-13 |