| NPI | 1790317998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093458-01) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 091244-1) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2022-07-14 |