| NPI | 1184275760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095789) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107589) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-12-25 |