| NPI | 1679098958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09290801) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 0854691) | |
| 1041S0200X Social Worker, School (Licence: NY 733162131) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-08-30 |