| NPI | 1124404033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088479) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 094701) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2025-10-03 |