| NPI | 1730842865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105899) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-02-23 |