| NPI | 1366041568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097109) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109928-01) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2024-02-23 |