| NPI | 1972816395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R081055) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081055-1) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2018-05-17 |