| NPI | 1356160063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018950) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100559) |
| 104100000X Social Worker (Licence: NY 113157) | |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2026-06-26 |