| NPI | 1629822168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 097674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010015056) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |