| NPI | 1184934028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16915) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076219-1) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2020-08-13 |