| NPI | 1922477363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 03309-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095202) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2020-11-13 |