| NPI | 1932601804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078189-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW128372) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2025-05-20 |