| NPI | 1275006413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102221-1) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 102221-1) | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |