| NPI | 1912540121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099092) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107755) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2025-03-17 |