| NPI | 1003277492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084977) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086690) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-11-29 |