| NPI | 1881924223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083001) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077726-1) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2020-04-03 |