| NPI | 1235680273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY NY096332) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2021-01-07 |