| NPI | 1093048050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084740-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081111) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2020-06-05 |