| NPI | 1881978138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 088761) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 23865) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2024-07-16 |