| NPI | 1780618140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076546) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-03-19 |