| NPI | 1811422405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 092252) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092252) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-08-12 |