| NPI | 1689265712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094833) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105278) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-03-24 |