| NPI | 1730731837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093926) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106796) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2023-10-16 |