| NPI | 1003216490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096820) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 0) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2017-11-30 |