| NPI | 1487911657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080162) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2021-08-26 |