| NPI | 1629449442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092187) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086916-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 092198-01) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2023-05-03 |