| NPI | 1558865006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 099526) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092865) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-01-29 |