| NPI | 1801267398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091946) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2025-04-04 |