| NPI | 1629612379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099127) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 10069) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2025-07-17 |