| NPI | 1235749565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 645362) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2025-10-14 |