| NPI | 1700363934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104074-1) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |