| NPI | 1124324298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072329) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2022-11-30 |