| NPI | 1861673634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R076599-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073534-1) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2020-10-16 |