| NPI | 1811587751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023029101) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097446-1) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2025-08-18 |