| NPI | 1932871944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 100593-01) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 100593) |
| 104100000X Social Worker (Licence: NY 102551-01) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2025-08-22 |