| NPI | 1659894095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 096506-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 100947) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2023-11-21 |