| NPI | 1649637430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090933-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 094877) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2022-03-04 |