| NPI | 1679030332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24352) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097572) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2025-06-03 |