| NPI | 1780344994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19225) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-06-16 |