| NPI | 1447508908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 087049-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2020-02-26 |