| NPI | 1750682407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 086252) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080384) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2021-01-05 |