| NPI | 1982092060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0848001) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0900671) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2017-04-03 |