| NPI | 1992772834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0700711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 070071-01) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2022-08-15 |