| NPI | 1912323650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R072223) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 072223) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2022-02-03 |