| NPI | 1922349752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R030597) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 030597) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2024-06-07 |