| NPI | 1891235891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 098386-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4919) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2024-01-17 |