| NPI | 1699231597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089135-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098818) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2022-01-11 |