| NPI | 1831769439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098521) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 112907) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-10-08 |