| NPI | 1902280365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 084358) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2024-02-03 |