| NPI | 1699267039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 104913) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW027953) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2026-09-21 |