| NPI | 1689133167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012625) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-04-28 |