| NPI | 1073529160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 065343-1) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-06-11 |