| NPI | 1275818718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09433-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 103551) |
| 104100000X Social Worker (Licence: PR 9745) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2024-11-08 |