| NPI | 1245484708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 079924) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 23450) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2018-12-30 |