| NPI | 1003359712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 011631) |
| 104100000X Social Worker (Licence: NY 092353-01) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2024-08-09 |