| NPI | 1649522038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087440-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0807281) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2023-07-17 |