| NPI | 1063989408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092807) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104273) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-03-10 |