| NPI | 1386032340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 090909-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087985) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2022-02-14 |