| NPI | 1972905461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086409-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092402) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-08-15 |