| NPI | 1942750609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089985) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098853) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2021-10-04 |