| NPI | 1689665762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R041612-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002848) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-03-23 |