| NPI | 1104566587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094467) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 103863) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-06-03 |