| NPI | 1366965113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091731) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097205) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2021-07-27 |