| NPI | 1770962938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087757-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083986) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2019-06-17 |