| NPI | 1679192074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06471600) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2025-07-10 |