| NPI | 1053084418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 105033-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 105033) |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2024-05-09 |