| NPI | 1669188660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 118419-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 118419-01) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-05-25 |