| NPI | 1962952929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092959) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104237) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-05-07 |