| NPI | 1194289512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093395-1) |
| Additional Taxonomies | 251B00000X Case Management |
| 174400000X Specialist | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2021-05-11 |