| NPI | 1528503794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091040) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098881-1) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2022-02-15 |