| NPI | 1730492117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118413) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 05 001563) |
| 1041C0700X Social Worker, Clinical (Licence: NY 080879) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2024-01-16 |