| NPI | 1982296372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06564800) |
| 104100000X Social Worker (Licence: NY 109351) | |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2026-03-02 |