| NPI | 1992105746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092300) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2025-08-31 |