| NPI | 1740890581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096715-01) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 112336-01) | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2024-01-18 |