| NPI | 1235854142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 103080) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 108254-01) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2026-06-02 |