| NPI | 1962043661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094705) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 105936) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-02-20 |