| NPI | 1467003731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097547-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 102733-1) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2025-11-13 |