| NPI | 1376079491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101534) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091256) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2026-07-23 |