| NPI | 1922434596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 091961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082022) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2025-03-12 |