| NPI | 1104355593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 100613) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095971-1) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-08-04 |