| NPI | 1306386503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R-087366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087366) |
| 1041S0200X Social Worker, School (Licence: NY 087366) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2022-03-17 |