| NPI | 1528467115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091701) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-03-13 |