| NPI | 1417464140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095932) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P09051) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-09-18 |