| NPI | 1346733441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094308) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102118-1) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-12-12 |