| NPI | 1740769017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 094525) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 099883) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2023-05-24 |