| NPI | 1770134603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149021687) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-06-02 |