| NPI | 1154794477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088282) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0797951) |
| 1041C0700X Social Worker, Clinical (Licence: NY 0797951) | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2022-09-14 |