| NPI | 1205431608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 11186701) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2022-07-01 |