| NPI | 1184818460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 079364) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 068239) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2020-08-25 |