| NPI | 1780757930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 083423-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075696) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-01-25 |