| NPI | 1538898812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094483) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101028) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2023-01-04 |