| NPI | 1013562115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 106869) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 106869) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2021-05-19 |