| NPI | 1659762557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089275-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088308-1) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-04-04 |