| NPI | 1538596879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085349) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2022-03-16 |