| NPI | 1194190363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 096790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099361) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2025-04-30 |