| NPI | 1497340798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: 109211-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098758-01) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-04-12 |