| NPI | 1548744048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 099370) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099370) |
| 104100000X Social Worker (Licence: NY 112650-01) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2025-04-10 |