| NPI | 1114226123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084250) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085651-1) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2025-01-14 |