| NPI | 1164649570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077025-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071069-1) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-05-31 |