| NPI | 1821398454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086460-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083550) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2023-01-05 |