| NPI | 1215395892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084411) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085289) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-07-06 |