| NPI | 1760909634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091845) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101466) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2021-08-09 |