| NPI | 1194462853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101411) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 114285-01) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2025-11-05 |