| NPI | 1497100028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 0) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088805) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2019-10-04 |