| NPI | 1578578001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0724281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R072428-1) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-05-02 |