| NPI | 1639685449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088629) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25459) |
| 104100000X Social Worker (Licence: NY 092571) | |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2022-02-05 |