| NPI | 1689370009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 098964) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 102976) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-04-26 |