| NPI | 1184933194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R077689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077689-1) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2023-03-22 |