| NPI | 1619644259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 10033201) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-07-23 |