| NPI | 1134374457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 057308-1) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2025-09-01 |