| NPI | 1801247028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092862) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106053) |
| 104100000X Social Worker (Licence: NJ 44SL06240900) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-02-23 |