| NPI | 1568941219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094739) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06399400) |
| 104100000X Social Worker (Licence: NY 103860) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-01-24 |