| NPI | 1659657161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087680) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009916) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2019-05-10 |