| NPI | 1427400407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101069) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker (Licence: NY 111444) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2025-10-06 |