| NPI | 1083047252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 085267-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 054864-1) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2017-06-27 |