| NPI | 1982102125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099317) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100535-1) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2025-01-21 |