| NPI | 1386999126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 103460) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001281) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2026-07-21 |