| NPI | 1578863205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074077-1) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 6649118) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2020-10-26 |