| NPI | 1013432657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 093526) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101610) |
| 104100000X Social Worker (Licence: NY 101610-1) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-08-03 |