| NPI | 1184864787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: NY 295161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099357) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2025-05-25 |