| NPI | 1992263404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099641-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 10701) |
| 104100000X Social Worker (Licence: NY 106073) | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2025-04-01 |