| NPI | 1235783697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098401-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097509) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2026-01-15 |