| NPI | 1740084607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100170) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 113194) |
| 104100000X Social Worker (Licence: NJ 44SL06679600) | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-05-22 |