| NPI | 1699358267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 115269) |
| 1041C0700X Social Worker, Clinical (Licence: MA 231105) | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2026-03-24 |