| NPI | 1508414251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 21289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094924) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-09-10 |