| NPI | 1821787276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102288) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109226) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2026-03-11 |