| NPI | 1609371251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 318735) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 124808) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-12-12 |