| NPI | 1093104515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086134-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092395-1) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2017-10-25 |