| NPI | 1609455336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140765) |
| 104100000X Social Worker (Licence: NY 111986-01) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-04-28 |