| NPI | 1437663853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091559) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0958181) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2022-09-13 |