| NPI | 1871642595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 051806) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R051806-1) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-07-26 |