| NPI | 1245565027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082764) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083183) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2023-12-26 |