| NPI | 1275298598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018878) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2025-10-20 |