| NPI | 1598410003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101731) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 28243) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2026-01-14 |