| NPI | 1740708155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095770) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096536) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2024-04-09 |