| NPI | 1750802120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089745) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW6596) |
| 1041C0700X Social Worker, Clinical (Licence: CT 16456) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2026-06-12 |