| NPI | 1073949988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083466) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083974) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2022-06-17 |