| NPI | 1013645779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 103336) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 104100000X Social Worker (Licence: NY 116730) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2026-07-08 |