| NPI | 1376285254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 100730) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 1590672) |
| 104100000X Social Worker (Licence: NY 113917-01) | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-08-07 |