| NPI | 1861104366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098639) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104217-1) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2026-04-21 |