| NPI | 1568832731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 091117) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095763) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2021-03-22 |