| NPI | 1245376995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071445-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0714451) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-06-06 |