| NPI | 1073115135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 110979) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 110979) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2024-02-12 |