| NPI | 1174935977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087029) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092887-1) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2022-11-17 |