| NPI | 1619637535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101685) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06728800) |
| 104100000X Social Worker (Licence: NY 113986) | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2026-01-21 |