| NPI | 1881279453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 091325) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 22879) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2025-09-05 |