| NPI | 1801476395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 23390) |
| 1041C0700X Social Worker, Clinical (Licence: NY 101385) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-10-30 |