| NPI | 1750954095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099578) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 112952) |
| 104100000X Social Worker (Licence: NJ 44SL06888300) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2025-03-11 |