| NPI | 1023620622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092532-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 103680) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2022-08-05 |