| NPI | 1366740789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 083344-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 083410) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2019-09-06 |