| NPI | 1790388494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 109858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097640) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-05-22 |