| NPI | 1114578952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 095790) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 107703) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-07-28 |