| NPI | 1386153930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091482-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 101115-1) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2021-07-20 |