| NPI | 1447841408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 111603-1) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NY 111603) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-03-04 |