| NPI | 1174999221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 088553) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 095481-1) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-12-30 |