| NPI | 1801316278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093848) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 124504) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-02-16 |