| NPI | 1336780295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 111618) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 09788301) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2024-07-16 |