| NPI | 1821767682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 113345) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 131681) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |