| NPI | 1144565276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8851860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073902-1) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2024-12-03 |