| NPI | 1518704709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 096609) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 094147) |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-13 |