| NPI | 1407428717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 113042) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |