| NPI | 1477972586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 086164) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091310-1) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2019-01-02 |