| NPI | 1659083079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 037920-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003334-01) |
| 1041S0200X Social Worker, School (Licence: NY Permanent) | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |