| NPI | 1063864841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096951) |
| 1041C0700X Social Worker, Clinical (Licence: NC C012897) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-07-27 |