| NPI | 1831567759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092131) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098459-1) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-09-30 |