| NPI | 1568830859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088107) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095436) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2024-11-15 |