| NPI | 1700241981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090249) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 067870) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2021-08-25 |