| NPI | 1629583448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092903-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102208-1) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2025-06-22 |