| NPI | 1811406226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091091) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 101085-1) |
| 1041C0700X Social Worker, Clinical (Licence: MD 28470) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-06-12 |