| NPI | 1306915566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0508971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 050897) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-11-13 |