| NPI | 1326515735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087875) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091725-1) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-01-22 |