| NPI | 1174133409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9406-123) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2021-02-10 |