| NPI | 1053928895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093916) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 105565) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2023-05-16 |