| NPI | 1679024046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094570) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097809) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-01-10 |