| NPI | 1801528815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 117374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 115970-01) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-11-10 |