| NPI | 1619513843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 110983) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2026-02-04 |