| NPI | 1366067472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 93161-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106272) |
| 1041C0700X Social Worker, Clinical (Licence: NY 093161-01) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-01-05 |