| NPI | 1316609282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099548) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 07-8880-01) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06487700) | |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-06-09 |