| NPI | 1891280145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 102783-01) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: NY 102783-1) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2021-05-29 |