| NPI | 1104549559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095775) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092523) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-07-16 |