| NPI | 1235709155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098695) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW24091) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2026-03-05 |