| NPI | 1962629519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R020887-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY LCSW R020887) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-01-12 |