| NPI | 1508002510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079594) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 29149) |
| 1041S0200X Social Worker, School (Licence: NY 076012) | |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2024-01-30 |