| NPI | 1619240926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73 079204) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 7615) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2017-02-23 |