| NPI | 1063098937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091065-01) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |