| NPI | 1740034289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099797) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 114522) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2025-04-07 |