| NPI | 1013444702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088439) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079372) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2021-05-30 |