| NPI | 1164899266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095071) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2023-11-15 |