| NPI | 1871035576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 088385-01) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NY 091019) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2019-08-26 |