| NPI | 1023632908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 109269-01) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2023-10-05 |