| NPI | 1912489204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095251-01) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: NY 107600-01) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2023-09-28 |