| NPI | 1336665579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY LCSW089621-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36973) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW86725) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2025-07-29 |