| NPI | 1043095409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 120657) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44C06673300) |
| 104100000X Social Worker (Licence: ME LM23326) | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2026-08-04 |