| NPI | 1184167041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090112-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099086-1) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-12-01 |