| NPI | 1912358763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089899-1) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-07-26 |