| NPI | 1174853741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082756) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079640-1) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2025-09-02 |