| NPI | 1699218289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089124) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099376-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 089124-01) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2021-04-27 |