| NPI | 1285005090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084886) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090136-1) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2017-11-15 |