| NPI | 1750751574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129677) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095956) |
| 1041C0700X Social Worker, Clinical (Licence: NY 095956) | |
| 174400000X Specialist (Licence: NY 095956-1) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2025-05-20 |