| NPI | 1548566524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06182300) |
| 1041C0700X Social Worker, Clinical (Licence: NY 096161) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2026-06-08 |