| NPI | 1417519620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095105) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106648-01) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2023-03-31 |