| NPI | 1285742775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 029334.1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R029334-1) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2022-05-05 |