| NPI | 1447500160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083949) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086633-1) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2022-12-07 |