| NPI | 1003139783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084164) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 064830-1) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 064830-1) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2024-03-28 |