| NPI | 1104443563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095398) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107317) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-06-13 |