| NPI | 1881942019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089126-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093540) |
| 1041C0700X Social Worker, Clinical (Licence: NY 093540) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2021-11-13 |