| NPI | 1952034076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L16353) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2026-05-26 |