| NPI | 1285102236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097848) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-05-06 |