| NPI | 1508524984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 103001) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 113940) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2026-05-06 |