| NPI | 1760909303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093119-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100887) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-05-16 |