| NPI | 1205284759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092367) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2025-06-13 |