| NPI | 1912663592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100322) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 114548) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2025-06-12 |