| NPI | 1750018594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 111688-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098068) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-07-22 |