| NPI | 1760784722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090725-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 27-3926903) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2021-11-10 |