| NPI | 1790454999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094411-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107222-01) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2022-11-13 |