| NPI | 1952645855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086308) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 087276) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-03-09 |