| NPI | 1831645175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R087949) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087949) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-05-13 |