| NPI | 1821656554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095936) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107693) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-08-30 |