| NPI | 1174812440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8626) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05618200) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2025-11-13 |