| NPI | 1912713603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-44421) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 125492-01) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |