| NPI | 1255866901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 104083) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097565-1) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2026-08-25 |