| NPI | 1154876910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102970) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW6881) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2026-06-09 |