| NPI | 1124620265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097995) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110973-01) |
| 104100000X Social Worker | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2025-05-04 |