| NPI | 1164123360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 116821) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 24502) |
| 1041C0700X Social Worker, Clinical (Licence: CT 15705) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2025-09-28 |