| NPI | 1003464900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101492) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 106185) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2025-11-21 |