| NPI | 1457050817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003933) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110173) |
| 1041C0700X Social Worker, Clinical (Licence: NY 097043) | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2025-07-25 |