| NPI | 1750986824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090064) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091008-01) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-09 |