| NPI | 1366924870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092535) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 104280-1) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-12-29 |