| NPI | 1790383826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 109459) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 109459) |
| 104100000X Social Worker (Licence: NY 109459) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |