| NPI | 1851902936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097219) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109492) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06426400) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2025-01-04 |