| NPI | 1477133080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141883) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06571800) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-11-26 |