| NPI | 1740766351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 104030) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096747) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-12-26 |