| NPI | 1417495631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090495-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098500-1) |
| 163W00000X Registered Nurse (Licence: NY 910483-01) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2023-11-17 |