| NPI | 1073100897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098466-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 056611-1) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2024-11-19 |