| NPI | 1578936779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090613) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095454) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2021-03-02 |