| NPI | 1609143247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082798) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 00085343) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2025-10-13 |