| NPI | 1265928618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102340) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091183-1) |
| 1041S0200X Social Worker, School (Licence: NY 1172895) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2026-03-06 |