| NPI | 1386190296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09045101) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098348-1) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2021-06-09 |