| NPI | 1013451434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092564) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 1050001) |
| 1041C0700X Social Worker, Clinical (Licence: CA 108007) | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2022-08-02 |