| NPI | 1346502499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1281791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074468-1) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-09-18 |