| NPI | 1689335218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100504) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 2140278) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-07-30 |