| NPI | 1104312933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093326) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 103766) |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2024-07-10 |