| NPI | 1710473707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085420-1) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-05 |