| NPI | 1588300412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099290) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110730-01) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-06-06 |