| NPI | 1124672159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085088) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 08861901) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2022-05-20 |