| NPI | 1396396537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098743) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 110281) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2025-04-11 |