| NPI | 1720600307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100472) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-12-20 |