| NPI | 1962873026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 103993-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 102112-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2026-09-25 |