| NPI | 1174901011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082576) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-05-08 |