| NPI | 1538273594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY LCSwR024047-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 024047) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-11-15 |