| NPI | 1689139081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092411) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 033005) |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2022-01-24 |