| NPI | 1154872042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72094744) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-03-08 |