| NPI | 1376185397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097012) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109870) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2024-02-04 |