| NPI | 1891056131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083817) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P84064) |
| 104100000X Social Worker (Licence: NY 087929-1) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2016-08-18 |