| NPI | 1982364543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 108062) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2025-11-05 |