| NPI | 1285988071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081495) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0815161) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2023-07-13 |