| NPI | 1184901522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 11513359-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084259) |
| 1041C0700X Social Worker Clinical (Licence: NY 083134) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2022-12-06 |