| NPI | 1235479726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082685-01) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2021-09-15 |