| NPI | 1154708410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087572) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093812) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2018-11-13 |