| NPI | 1275091563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094013) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 100150-1) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2023-10-23 |