| NPI | 1780723379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079494) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01932) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-12-18 |