| NPI | 1164829065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088720-1) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2022-02-08 |