| NPI | 1275604886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 8384-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 076516) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-08-08 |