| NPI | 1235375783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 094909) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1818800) |
| 1041C0700X Social Worker, Clinical (Licence: NY 094909) | |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2019-02-27 |