| NPI | 1356096895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 093998-01) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 104550-01) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-09-27 |