| NPI | 1508462847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098463) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 110055) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-11-13 |