| NPI | 1427319458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081346-1) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2017-02-16 |