| NPI | 1134609860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 095895) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 108227) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-08-22 |