| NPI | 1225459597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086994) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 090123) |
| 104100000X Social Worker (Licence: NY 090123) | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2019-01-03 |