| NPI | 1730662511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099194) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102540-1) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2025-02-20 |