| NPI | 1093367021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6004) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 122242) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-03-19 |