| NPI | 1639401979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 14328) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076512) |
| 1041C0700X Social Worker Clinical (Licence: NY 080542) | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2023-08-07 |