| NPI | 1447767371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013535) |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2021-02-11 |