| NPI | 1013630524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101877) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL07194300) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2026-03-19 |