| NPI | 1205019494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087238-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071538-1) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2022-03-07 |