| NPI | 1467930057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 108270) |
| 1041S0200X Social Worker School (Licence: NY 108270) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: NY 521626) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-01-29 |