| NPI | 1790226355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091167-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096865-1) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2025-09-17 |