| NPI | 1811544562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 109938) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-07-25 |