| NPI | 1750744298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 103935-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 103935) |
| 104100000X Social Worker | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 111733454) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2021-04-05 |