| NPI | 1518406214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091048) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2024-01-19 |