| NPI | 1003581299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094793) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 15899) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-10-23 |