| NPI | 1740421106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 078181-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074286-1) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2017-01-19 |