| NPI | 1366650467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R045529-1) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-10-12 |