| NPI | 1740565456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095062) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077953-1) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2023-06-28 |