| NPI | 1255070124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094566-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081522) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2023-02-15 |