| NPI | 1669036364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 117854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 103065) |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2026-08-31 |