| NPI | 1649764002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 102851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 101873) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2026-01-08 |