| NPI | 1326746405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084104-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081730) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-01-17 |