| NPI | 1780292649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11697) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2024-10-09 |