| NPI | 1093232266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093583) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097993-1) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2024-11-12 |