| NPI | 1710309190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086079) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090108) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2022-11-02 |