| NPI | 1932664406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101018) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL07207400) |
| 104100000X Social Worker (Licence: NY 102580-1) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2025-09-23 |