| NPI | 1053901462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098745) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102373) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2024-11-04 |