| NPI | 1831748300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096283) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM 2024-0921) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2025-06-10 |