| NPI | 1376296459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 101512-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 098212) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2024-08-23 |