| NPI | 1639473242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085431-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077741-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 085431) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 085431-1) | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2021-10-14 |