| NPI | 1114416559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0996571) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0996571) |
| 1041S0200X Social Worker, School (Licence: NY 0996571) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-07-31 |