| NPI | 1528496445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093579-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089884-1) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2022-07-13 |