| NPI | 1932448040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088579) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089700) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2020-03-04 |