| NPI | 1477728921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R074283) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074283) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-12-10 |