| NPI | 1528114089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 2671051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 045662-1) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2026-01-27 |