| NPI | 1942885140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 2408029) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 106715) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2025-07-31 |