| NPI | 1033648621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097611) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-02-18 |