| NPI | 1467861286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 085275-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091811-1) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2017-03-16 |