| NPI | 1356826804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 44SC06049900) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-08-14 |