| NPI | 1235588609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 097661-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 102455) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2026-03-20 |