| NPI | 1467066381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 107362) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2024-02-12 |