| NPI | 1558887547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 101310) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-03-25 |