| NPI | 1992515894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 125475-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09933657) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2026-09-04 |