| NPI | 1639535065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 095857) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-12-30 |