| NPI | 1407314917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094150) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106028) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-10-27 |