| NPI | 1770011868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 090125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098080) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2022-01-25 |