| NPI | 1326413808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089893) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096658) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2020-07-30 |