| NPI | 1861917833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092026-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8011899-3501) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-09-24 |