| NPI | 1689739773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092763) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 669841) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-03-10 |