| NPI | 1740866466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 098219) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111326) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-02-13 |