| NPI | 1346694429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102118) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109042) |
| 224Z00000X Occupational Therapy Assistant (Licence: NY 6348) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2026-02-07 |