| NPI | 1356891964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089767) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097832) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-12-28 |