| NPI | 1578827747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086391) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-05-01 |