| NPI | 1053797902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087820) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 058954) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2019-01-28 |