| NPI | 1801480421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 111050-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099999-01) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2025-06-13 |