| NPI | 1104250026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085047) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089671) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2017-03-27 |