| NPI | 1295277838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088364) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092441) |
| 104100000X Social Worker (Licence: NY 088364) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2025-01-30 |