| NPI | 1255802492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089950-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096121-1) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-01-05 |