| NPI | 1861010530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094636) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 11218401) |
| 104100000X Social Worker (Licence: NJ 44sl06554200) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2023-01-10 |