| NPI | 1689192916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098528) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: NY 106257) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2026-03-09 |