| NPI | 1255811774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 092832) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104102) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2022-07-20 |