| NPI | 1447633185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088979-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095042) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-12-13 |