| NPI | 1679040612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 070532-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 07532-01) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-01-31 |