| NPI | 1518463660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098207) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105548) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-10-29 |