| NPI | 1003365792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102335) |
| 104100000X Social Worker | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-01-11 |