| NPI | 1457870032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090330) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 117042) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2025-06-16 |