| NPI | 1194860155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 073325-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078125) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2021-07-28 |