| NPI | 1538695432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090163) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099828) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-05-09 |