| NPI | 1417270794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079957) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077421) |
| 251S00000X (Licence: NY 079957) | |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2022-07-21 |