| NPI | 1134868037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 112826) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW137491) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2026-05-15 |