| NPI | 1114280625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09065501) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 024772) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-02-08 |