| NPI | 1154966976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09636801) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2023-11-08 |