| NPI | 1568116945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 068110-01) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-12-09 |