| NPI | 1235701228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097346) |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2024-04-17 |