| NPI | 1659043610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094213) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 110377) |
| 104100000X Social Worker (Licence: NY 107337) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-12-08 |