| NPI | 1336949015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 073332) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 610852) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |