| NPI | 1750544300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 045795) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2018-10-11 |