| NPI | 1801236211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084608) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089737-1) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2019-12-30 |