| NPI | 1205091626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080928) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074765) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2025-07-28 |