| NPI | 1871123232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102291-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 18809) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2026-05-29 |