| NPI | 1184108029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 7307165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73071658) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |