| NPI | 1679883227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO28884-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2022-07-21 |