| NPI | 1730590043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097987-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 08775) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-08-21 |