| NPI | 1841954104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099709) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 113576) |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2025-10-01 |