| NPI | 1629680475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095729) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06572400) |
| 104100000X Social Worker (Licence: NY 090345) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-09-13 |