| NPI | 1689324790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 112037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100133) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-05-14 |