| NPI | 1881460541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074666) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: NY 000302) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |