| NPI | 1235693532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 095744) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105526-1) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2023-07-26 |