| NPI | 1245600196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094642) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-09576) |
| 104100000X Social Worker (Licence: NY 098302) | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2024-06-10 |