| NPI | 1871047928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091145) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102659) |
| 104100000X Social Worker | |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2021-07-21 |