| NPI | 1376014118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096702) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106463) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2024-01-29 |