| NPI | 1366758757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 073121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW23613) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2026-05-20 |