| NPI | 1053960567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094923) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107403) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2023-08-08 |