| NPI | 1003481748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21580) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2026-03-09 |