| NPI | 1215553169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097361) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111020) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-08-06 |