| NPI | 1699241943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088268) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086468) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2021-06-10 |