| NPI | 1912499534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086827-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086827) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2025-08-19 |