| NPI | 1013252550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090975) |
| Additional Taxonomies | 174400000X Specialist |
| 104100000X Social Worker (Licence: NY 101684-1) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2026-04-27 |