| NPI | 1649863861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-43234) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 00106959) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2023-04-21 |