| NPI | 1710283148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076954-R) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06086000) |
| 1041C0700X Social Worker, Clinical (Licence: NY 076954) | |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2024-03-04 |