| NPI | 1336518224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088544) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097866) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2025-11-10 |