| NPI | 1114092319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 069908-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 06908-1) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-07-06 |