| NPI | 1104144583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084420-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075977) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2019-11-05 |