| NPI | 1730651712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P14192) |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2022-10-31 |