| NPI | 1518081553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R029329-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 003678) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-10-12 |