| NPI | 1003415605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097182) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110785) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2024-03-06 |