| NPI | 1972019065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 090961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097339-1) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2024-12-03 |