| NPI | 1063829166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086226) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0925532-1) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-04-24 |