| NPI | 1568778561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 137076) |
| 1041C0700X Social Worker, Clinical (Licence: CT 16645) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2026-04-19 |