| NPI | 1215061866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076680) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016795) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-06-09 |