| NPI | 1265826010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085079-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087837-1) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2017-01-06 |