| NPI | 1356682504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089478) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070752) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2020-03-12 |