| NPI | 1801406913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095933) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095060) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-12-27 |