| NPI | 1982272795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 113411) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 113411) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-08-03 |