| NPI | 1790383032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 089958) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 08995801) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2021-01-12 |