| NPI | 1134706039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089904) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089904-01) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |