| NPI | 1851931265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091062) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 22958) |
| 104100000X Social Worker (Licence: NY 101198) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-05-27 |