| NPI | 1477225183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 114097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C019260) |
| 1041C0700X Social Worker, Clinical (Licence: NY 099663) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2026-05-11 |