| NPI | 1154675759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084394) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079663-1) |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2021-04-16 |