| NPI | 1376127605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6475) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 122381) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2024-04-01 |