| NPI | 1972086890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 105114) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 105114) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-10-13 |