| NPI | 1477048064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23779) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098581) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2026-01-02 |