| NPI | 1093188682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090285) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096017-1) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2023-07-10 |