| NPI | 1649458027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 36005) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2025-07-17 |