| NPI | 1396808994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R018476) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121973) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-05-25 |