| NPI | 1609363050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 089245) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097760-1) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2020-08-14 |