| NPI | 1730634007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071019-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 6801099117) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |