| NPI | 1508591827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101222) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW23261) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2025-12-09 |