| NPI | 1295013118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085937-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077606) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2019-11-22 |