| NPI | 1467060087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 112014) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-03-03 |