| NPI | 1700213360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087843) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2025-10-03 |