| NPI | 1215000500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102139-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 072043-1) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2026-05-13 |