| NPI | 1790290864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09415101) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 102568) | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2024-06-18 |