| NPI | 1316510902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092428-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105915-1) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-02-22 |