| NPI | 1043461767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090746) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077754-1) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2021-11-22 |