| NPI | 1063873115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098667) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088962-1) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2025-08-01 |