| NPI | 1396228664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 047388) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 047388-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY R-047388-1) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |