| NPI | 1073156121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 103437) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2022-02-18 |