| NPI | 1255028601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 11649401) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149031108) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2026-04-21 |