| NPI | 1760752190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R073109-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School (Licence: NY R073109-1) | |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2021-03-29 |