| NPI | 1790160166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086822-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 32909) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2026-04-09 |