| NPI | 1548814593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094576-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106888) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2026-06-13 |