| NPI | 1992364103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0892001) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2020-07-09 |