| NPI | 1275095283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 105331) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW18153) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2021-03-17 |