| NPI | 1629608203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096888) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107321-01) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-03-13 |