| NPI | 1497108609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 082220-1) |
| Additional Taxonomies | 281PC2000X Chronic Disease Hospital Children (Licence: NY 082220-1) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |