| NPI | 1578157418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6562) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 113820-01) |
| 104100000X Social Worker (Licence: SD 6019) | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-04-02 |