| NPI | 1184109845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092844) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 1810435) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2022-06-03 |