| NPI | 1164972758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090682) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098497) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2023-11-22 |