| NPI | 1083296099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095510) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107134) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-07-28 |