| NPI | 1477705267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 077772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079650) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2022-07-01 |