| NPI | 1194222679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101784) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092619) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2023-12-16 |