| NPI | 1710751326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101158-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 115028-01) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2025-12-22 |