| NPI | 1053093815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW26624) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 117968-01) |
| 1041C0700X Social Worker, Clinical (Licence: NY 102236) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2026-06-19 |