| NPI | 1467874172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4166) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NY 090337-1) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2021-08-12 |