| NPI | 1225329485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080199) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080540-1) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06060900) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2022-03-27 |