| NPI | 1720847627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R053387-01) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |