| NPI | 1548704232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R053906-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 053906-R) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2018-06-29 |