| NPI | 1902340482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091494-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099696-1) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2021-06-11 |