| NPI | 1326392200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 086141) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 72 083949) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2019-01-08 |