| NPI | 1912364712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 094528-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 102685) |
| 104100000X Social Worker (Licence: NJ 44SL07332300) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2026-04-14 |