| NPI | 1124636550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09818501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107978) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2024-08-27 |