| NPI | 1487165403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091694-01) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-03-26 |