| NPI | 1487544268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 071930) |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |