| NPI | 1821405101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086363) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092269) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2018-03-17 |