| NPI | 1316035892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: R036386) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R036386-1) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-03-07 |