| NPI | 1952880098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091779) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 101136-1) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-07-05 |