| NPI | 1225654239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R072168-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R02168-1) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-09-10 |