| NPI | 1851432959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 063883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 063883-1) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2019-05-09 |