| NPI | 1578173118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 096841) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109866) |
| 1041C0700X Social Worker, Clinical (Licence: NY 096841) | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2024-02-06 |