| NPI | 1245287630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R052110-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 006012) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2021-07-07 |