| NPI | 1184068066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088794) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2024-04-30 |