| NPI | 1659533297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074916) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074916-R) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2025-08-11 |