| NPI | 1912263161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 098583-01) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 112296) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2024-11-02 |