| NPI | 1710430103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085742) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091491) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2019-01-31 |