| NPI | 1538487459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082814-R) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082814-1) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2019-09-28 |