| NPI | 1215581244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094529) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094529-01) |
| 1041C0700X Social Worker, Clinical (Licence: NY 106836) | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2025-03-28 |