| NPI | 1912767112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087806-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087806-01) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |