| NPI | 1184233793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096220) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P105898) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-10-09 |