| NPI | 1053938126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092917) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104541) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-12-15 |