| NPI | 1154676203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084348-1) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 084348-1) |
| 104100000X Social Worker | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2023-12-01 |