| NPI | 1659172633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 126912) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07250100) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-05-07 |