| NPI | 1609177468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079022-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072715-1) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2024-12-02 |