| NPI | 1588118558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY ITIN) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-10-02 |