| NPI | 1326682295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NY 107930-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107930-01) |
| 1041C0700X Social Worker, Clinical (Licence: NY 107930-01) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-05-20 |