| NPI | 1932742178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094595) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 08031) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2023-08-15 |