| NPI | 1679918106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083044-1) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2016-02-05 |