| NPI | 1831614767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 107346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P14674) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2024-04-23 |