| NPI | 1306077235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0366731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 36673) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2023-07-06 |