| NPI | 1366054975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 101825) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2026-03-11 |