| NPI | 1740725589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098761) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086644) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-11-18 |