| NPI | 1629225552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 070198-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R079185) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2025-03-12 |