| NPI | 1225626203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099751) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111276) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW22328) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2025-04-07 |