| NPI | 1689365801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093550) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101141) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |