| NPI | 1326393745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093662) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085034-1) |
| 1041C0700X Social Worker, Clinical (Licence: SC 11032) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-11-20 |