| NPI | 1891146668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090874) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097186) |
| 1041C0700X Social Worker, Clinical (Licence: NY 097186) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-06-02 |