| NPI | 1689079196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13903) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082433-01) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2026-04-15 |