| NPI | 1164887220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093359) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093359) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-12-13 |