| NPI | 1477297166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025050531) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087780) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2026-01-29 |