| NPI | 1073267308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 113577-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 103300-01) |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2026-06-26 |