| NPI | 1700448396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098813) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 225254) |
| 104100000X Social Worker (Licence: NY 115214) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-12-05 |