| NPI | 1598323636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094315) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075897) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-10-17 |