| NPI | 1770132367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093282) |
| 1041S0200X Social Worker, School (Licence: NY 2572903) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-01-21 |