| NPI | 1881108363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090980-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 102181) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2022-02-03 |