| NPI | 1245850320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096931) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107354) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-02-01 |