| NPI | 1578939799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095376) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-11-13 |