| NPI | 1497295331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091238) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 070119) |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2022-10-24 |