| NPI | 1356703425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092905) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-09-26 |