| NPI | 1902223738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091274) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2017-06-29 |