| NPI | 1649860818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094835) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 095281-01) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2023-06-30 |