| NPI | 1568985729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 084653) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 1041C0700X Social Worker, Clinical (Licence: NY 084653) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-01-24 |