| NPI | 1144627514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087853) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087853) |
| 104100000X Social Worker (Licence: NY 090459-1) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2025-04-13 |