| NPI | 1124783444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096762) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 108085) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2024-01-25 |