| NPI | 1750271078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 127995-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL07308700) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-08-18 |