| NPI | 1073927166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090692) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1909277) |
| 104100000X Social Worker (Licence: NY 099966) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05873300) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-01-06 |