| NPI | 1720570765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098769) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 113407-01) |
| 225A00000X Music Therapist (Licence: 10987) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-11-05 |