| NPI | 1912259524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27037) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086458) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2025-05-28 |