| NPI | 1487171633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 089519) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098941) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-01-28 |