| NPI | 1922729151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093451-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112408) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2026-06-11 |