| NPI | 1245919331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904019619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 122587) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-12-08 |