| NPI | 1881284784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 110509) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 110509) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-06-07 |