| NPI | 1881193738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089284) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05957200) |
| 104100000X Social Worker (Licence: NY 098170-1) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2022-05-26 |