| NPI | 1255983425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095047) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106801) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-08-01 |