| NPI | 1922598051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092984) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099025) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2024-09-10 |