| NPI | 1083229850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 013294604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088954) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-04-24 |