| NPI | 1629650114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093557) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098248) |
| 104100000X Social Worker (Licence: NY 0565856) | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2022-06-03 |