| NPI | 1649685405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085490-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085510) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2017-07-26 |