| NPI | 1154674141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092044) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093659-1) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2021-11-28 |