| NPI | 1952910838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09085501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102920) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-11-23 |