| NPI | 1407300650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089925) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 101232) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-08-07 |