| NPI | 1225613540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 111348) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 14538) |
| 1041C0700X Social Worker, Clinical (Licence: NY 102500) | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2026-04-06 |