| NPI | 1679100291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096146) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109288) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-09-18 |