| NPI | 1770175853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 096332) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 108514) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-08-01 |